The work
The work I do is relational and pattern-focused. I don't run intake checklists or assign homework between sessions; I pay attention to what happens in the session, the moments when something shifts or goes flat, and the recurring pattern underneath the presenting problem. Most people already know the story of their situation and keep landing in the same place. What's missing is someone watching in real time who can name what's invisible from inside it. More on how I work, and how I work with couples.
Therapy in Muscat: a real market with real friction
Most of Oman's English-speaking therapy is in Muscat, across private hospitals and clinics, and fees range widely, roughly 30 to 200 Omani rials a session. Public psychiatric care centres on Al-Masarra Hospital and is psychiatry-led and oriented mainly toward Omani citizens and government staff, so for sustained English-language talk therapy the realistic routes are private care or online work. In a traditional society where mental health is a quiet subject, discretion matters. The full picture of the Omani system is on my Oman page.
The Muscat patterns
The people who come are Muscat's internationals. The professionals in energy, logistics, shipping, and education, the long-term expats, and the partners who followed a posting to a calm but distant place. The pull toward an outside therapist is partly privacy and partly the simple scarcity of sustained depth work locally.
Why people in Muscat pick online work with me
Three reasons recur. Privacy: I hold no Omani license, bill no Omani insurer, and write nothing into a record an employer can reach. Fit: my whole practice is people living outside their home country. Logistics: a Muscat evening sits in my US morning, and location inside Oman makes no difference. If you need medication, an assessment, or a clinician inside the Omani system, I will point you toward it.
Questions people ask from Muscat
What people bring to online therapy
The people I work with in English come for a wide range of reasons: anxiety, depression, stress and burnout, anger management, grief and loss, relationship difficulties, loneliness, self-esteem issues, procrastination, sleep problems, attachment patterns, self-sabotage, perfectionism, identity questions, and existential concerns. Online counseling makes this work possible from wherever you are, whether you need an English-speaking therapist, a virtual counselor, or simply someone who can work in your language at a depth that matters.
How it works
Sessions are online via secure video call. I work with individuals and couples (60 minutes). Before your first session, we have a free 15-minute call to see if this feels like the right fit for you.
Selected research on this approach
My work is psychodynamic and depth-oriented. These are some of the studies on the effectiveness of that kind of therapy. They describe research on the method in general, and are not claims about any individual outcome.
- Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. doi:10.1037/a0018378
- Steinert, C., Munder, T., Rabung, S., Hoyer, J., & Leichsenring, F. (2017). Psychodynamic therapy: as efficacious as other empirically supported treatments? A meta-analysis testing equivalence of outcomes. American Journal of Psychiatry, 174(10), 943-953. PMID 28541091
- Leichsenring, F., Abbass, A., Heim, N., Keefe, J. R., Kisely, S., Luyten, P., Rabung, S., & Steinert, C. (2023). The status of psychodynamic psychotherapy as an empirically supported treatment for common mental disorders: an umbrella review based on updated criteria. World Psychiatry, 22(2), 286-304. PMC10168167